Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.86 / $3,839.00 / $8,247.00	Facility		$1,019.86	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.86 / $1,146.31 / $1,461.14	Professional		$1,019.86	$1,146.31	$1,461.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,013.66 / $1,614.56 / $2,167.26	Professional		$1,013.66	$1,614.56	$2,167.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.19 / $1,484.30 / $2,338.82	Professional		$1,109.19	$1,484.30	$2,338.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.68 / $1,766.93 / $1,771.61	Professional		$1,335.68	$1,766.93	$1,771.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,019.86 / $1,221.56 / $2,953.37	Professional		$1,019.86	$1,221.56	$2,953.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,482.40 / $2,844.90	Professional		$7.00	$1,482.40	$2,844.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.46 / $1,499.07 / $2,398.32	Professional		$1,124.46	$1,499.07	$2,398.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,117.06 / $1,117.06 / $1,411.46	Facility		$1,117.06	$1,117.06	$1,411.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,082.58 / $1,123.19 / $1,411.46	Professional		$1,082.58	$1,123.19	$1,411.46
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.93 / $1,412.00 / $2,334.09	Professional		$1,081.93	$1,412.00	$2,334.09